Feral Watch And TNR Adoption Application

Name & Surname *

Are you applying for a cat or dog?*

Phone number *

Alternative Phone Number

Email Address *

Employer?*

Occupation

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Are You renting or own the property? *

If renting, are you allowed to have pets? *

Family Members Residing in Your Home And Ages *

Any Family member in your home known to have allergies? *

Do you have a swimming pool? In case Yes, is it covered or fenced off?*

Who is your veterinary practitioner /Clinic *

Do you have the means to pay for private veterinary care if your pets may need it? *

YesNoUncertain (to discuss with representative)

Please tell us more about your current pets. NAME, AGE, CAT/DOG/OTHER, BREED, SPAYED /CASTRATED *

Are your current pets well socialized with other pets?*

Any small children? Will they be supervised when handling the pet you intend to adopt?

Please share your history with your pets, if a pet is no longer part of your family, what was the reason? *

Have you ever surrendered an animal to a shelter, rescue organisation or individuals? *

YesNo

If Yes what was the reason?

Do you or any of your family members have animal cruelty cases against you? *

YesNoWill explain more to the representative

Who will be the primary caregiver of the pet you are adopting? *

MyselfMy childrenSomeone else (to be discussed with FW representative)

Will this adopted pet be a gift for someone else? *

YesNo

Are you applying for yourself? *

YesNo

Do you intent to declaw the cat? N/A

YesNoWhat is declawing? (to be discussed with the FW representative)

Will the cat be:*

What factors could cause you to give up your cat /dog? *

What will you do when you can no longer keep the cat(s) *

You have been informed that the cat /dog will be Spayed /neutered? *

YesNo

I, (your name and Surname) understand the implication and responsibility associated with adopting an animal, and have provided truthful information on this application document. I do understand that the adopt fee will be R680 for cats / R950 /R1200 for small/large dogs which will cover the spay / neuter at 4 to 6 months of age (cats) 6-8 months (dogs) All applications are subject to a home visit, adoption fee and signing an adoption agreement.*

Please understand that the Feral Watch And TNR Representative will communicate with you, as to the reason, should your application be declined.

From time to time a "pop in" will be asked to assure the pet is well cared for. The pet not to he given away without the knowledge of Feral Watch And TNR. A new home visit will be scheduled with the prospective new owner, but Feral Watch And TNR keep the right to decline. Should this pet be found neglected, it will be to the Feral Watch And TNR Representative decision, after consultation with you, the owner, and the organization, to determine the outcome of such situation. Agree?.*

Date *

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